LUVENIA LEA BROADNAX EZELL

HAMPTON, VA
NPI1588315857
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: VA  0002095818)
Enumeration Date2022-01-18
Last Update Date2022-01-18
Business Address
LUVENIA LEA BROADNAX EZELL LPN
1126 BIG BETHEL RD
HAMPTON, VA 23666-1906
Phone number: 757-776-5843
Mailing Address
LUVENIA LEA BROADNAX EZELL LPN
1126 BIG BETHEL RD
HAMPTON, VA 23666-1906
Phone number: 757-776-5843
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